[{"id":"23603MT0380001","name":"Core Bronze HSA 8300","issuer":"PacificSource Health Plans","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[39000,40800,44200,49800,69600,105800],"deductible":"$8,300","drug_deductible":"Included in Medical","moop":"$8,300","network":"https://providerdirectory.pacificsource.com/","sbc":"https://pacificsource.widen.net/content/p1tuvjfb6c/pdf/Core-Bronze-HSA-8300_23603MT0380001-01-2026-SBC.pdf","formulary":"https://pacificsource.com/ps_find_drug/pdf/MT/2026","source_row":41303},{"id":"23603MT0380002","name":"Core Bronze HSA 10600","issuer":"PacificSource Health Plans","metal":"Bronze","type":"EPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[36800,38500,41700,47000,65600,99700],"deductible":"$10,600","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://providerdirectory.pacificsource.com/","sbc":"https://pacificsource.widen.net/content/e0eymhuicr/pdf/Core-Bronze-HSA-10600_23603MT0380002-01-2026-SBC.pdf","formulary":"https://pacificsource.com/ps_find_drug/pdf/MT/2026","source_row":41304},{"id":"23603MT0380003","name":"Core Standard Expanded Bronze HSA","issuer":"PacificSource Health Plans","metal":"Expanded Bronze","type":"EPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[41500,43500,47100,53000,74100,112600],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://providerdirectory.pacificsource.com/","sbc":"https://pacificsource.widen.net/content/mgijsumf5y/pdf/Core-Standard-Expanded-Bronze-HSA_23603MT0380003-01-2026-SBC.pdf","formulary":"https://pacificsource.com/ps_find_drug/pdf/MT/2026","source_row":41305},{"id":"23603MT0380004","name":"Core Silver 3500","issuer":"PacificSource Health Plans","metal":"Silver","type":"EPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[58400,61200,66300,74600,104300,158400],"deductible":"$3,500","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://providerdirectory.pacificsource.com/","sbc":"https://pacificsource.widen.net/content/ljzkxnacmn/pdf/Core-Silver-3500_23603MT0380004-01-2026-SBC.pdf","formulary":"https://pacificsource.com/ps_find_drug/pdf/MT/2026","source_row":41306},{"id":"23603MT0380005","name":"Core Silver 5000","issuer":"PacificSource Health Plans","metal":"Silver","type":"EPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[54500,57100,61800,69600,97300,147800],"deductible":"$5,000","drug_deductible":"Included in Medical","moop":"$8,600","network":"https://providerdirectory.pacificsource.com/","sbc":"https://pacificsource.widen.net/content/szbtjolcac/pdf/Core-Silver-5000_23603MT0380005-01-2026-SBC.pdf","formulary":"https://pacificsource.com/ps_find_drug/pdf/MT/2026","source_row":41307},{"id":"23603MT0380006","name":"Core Standard Silver","issuer":"PacificSource Health Plans","metal":"Silver","type":"EPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[55100,57700,62500,70400,98400,149500],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://providerdirectory.pacificsource.com/","sbc":"https://pacificsource.widen.net/content/gdzqj7bw9i/pdf/Core-Standard-Silver_23603MT0380006-01-2026-SBC.pdf","formulary":"https://pacificsource.com/ps_find_drug/pdf/MT/2026","source_row":41308},{"id":"23603MT0380008","name":"Core Gold 1500","issuer":"PacificSource Health Plans","metal":"Gold","type":"EPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[54300,56900,61600,69400,97000,147300],"deductible":"$1,500","drug_deductible":"Included in Medical","moop":"$7,500","network":"https://providerdirectory.pacificsource.com/","sbc":"https://pacificsource.widen.net/content/2cfo9kvqrp/pdf/Core-Gold-1500_23603MT0380008-01-2026-SBC.pdf","formulary":"https://pacificsource.com/ps_find_drug/pdf/MT/2026","source_row":41309},{"id":"23603MT0380009","name":"Core Standard Gold","issuer":"PacificSource Health Plans","metal":"Gold","type":"EPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[56200,58900,63800,71900,100400,152600],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://providerdirectory.pacificsource.com/","sbc":"https://pacificsource.widen.net/content/dtljr2b68i/pdf/Core-Standard-Gold_23603MT0380009-01-2026-SBC.pdf","formulary":"https://pacificsource.com/ps_find_drug/pdf/MT/2026","source_row":41310},{"id":"30751MT0550038","name":"Blue Preferred Gold PPO℠ 204","issuer":"Blue Cross and Blue Shield of Montana","metal":"Gold","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[54881,57515,62290,70138,98017,148947],"deductible":"$1,500","drug_deductible":"$0","moop":"$9,950","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-gpsh30ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41311},{"id":"30751MT0550039","name":"Blue Preferred Silver PPO℠ 203","issuer":"Blue Cross and Blue Shield of Montana","metal":"Silver","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[55844,58525,63383,71369,99737,151561],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$10,500","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-spsh30ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41312},{"id":"30751MT0550040","name":"Blue Preferred Bronze PPO℠ 201","issuer":"Blue Cross and Blue Shield of Montana","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[38858,40723,44104,49661,69400,105461],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-bpsh30ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41313},{"id":"30751MT0550041","name":"Blue Preferred Bronze PPO℠ 202","issuer":"Blue Cross and Blue Shield of Montana","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[43659,45755,49553,55796,77975,118491],"deductible":"$4,400","drug_deductible":"Included in Medical","moop":"$8,300","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-bpsh31ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41314},{"id":"30751MT0550042","name":"Blue Preferred Security PPO℠ 200","issuer":"Blue Cross and Blue Shield of Montana","metal":"Catastrophic","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[38904,40771,44156,49719,69483,105585],"deductible":"$10,600","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-cpsh30ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41315},{"id":"30751MT0550061","name":"Blue Preferred Silver PPO℠ 308","issuer":"Blue Cross and Blue Shield of Montana","metal":"Silver","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[58651,61466,66569,74956,104751,159179],"deductible":"$7,250","drug_deductible":"$0","moop":"$7,250","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-spsh42ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41316},{"id":"30751MT0550086","name":"Blue Preferred Gold PPO℠ Standard","issuer":"Blue Cross and Blue Shield of Montana","metal":"Gold","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[56868,59598,64545,72677,101566,154340],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-gpsa56ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_4T_HIM.pdf","source_row":41317},{"id":"30751MT0550087","name":"Blue Preferred Silver PPO℠ Standard","issuer":"Blue Cross and Blue Shield of Montana","metal":"Silver","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[57257,60005,64987,73174,102261,155395],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-spsa57ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_4T_HIM.pdf","source_row":41318},{"id":"30751MT0550092","name":"Blue Preferred Bronze PPO℠ Standard","issuer":"Blue Cross and Blue Shield of Montana","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[40841,42801,46355,52195,72942,110842],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-bpsa85ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_4T_HIM.pdf","source_row":41319},{"id":"30751MT0550102","name":"Blue Preferred Gold PPO℠ 901","issuer":"Blue Cross and Blue Shield of Montana","metal":"Gold","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[55664,58336,63179,71139,99416,151072],"deductible":"$1,400","drug_deductible":"Included in Medical","moop":"$9,200","network":"https://my.providerfinderonline.com/?ci=mt-bluepreferredppo-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-gpse21ppoimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41320},{"id":"30751MT0670001","name":"Blue Focus Gold POS℠ 207","issuer":"Blue Cross and Blue Shield of Montana","metal":"Gold","type":"POS","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[44271,46396,50248,56578,79068,120151],"deductible":"$250","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-gosh30blcimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41321},{"id":"30751MT0670002","name":"Blue Focus Silver POS℠ 206","issuer":"Blue Cross and Blue Shield of Montana","metal":"Silver","type":"POS","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[43932,46041,49863,56145,78463,119231],"deductible":"$3,500","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-sosh31blcimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41322},{"id":"30751MT0670003","name":"Blue Focus Bronze POS℠ 205","issuer":"Blue Cross and Blue Shield of Montana","metal":"Expanded Bronze","type":"POS","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[31964,33498,36279,40850,57088,86750],"deductible":"$3,500","drug_deductible":"Included in Medical","moop":"$9,950","network":"https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-bosh31blcimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41323},{"id":"30751MT0670006","name":"Blue Focus Bronze POS℠ 705","issuer":"Blue Cross and Blue Shield of Montana","metal":"Bronze","type":"POS","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[27679,29008,31416,35374,49435,75121],"deductible":"$10,600","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-bosa61blcimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41324},{"id":"30751MT0670007","name":"Blue Focus Gold POS℠ Standard","issuer":"Blue Cross and Blue Shield of Montana","metal":"Gold","type":"POS","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[44746,46894,50787,57185,79916,121441],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-gosa59blcimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_4T_HIM.pdf","source_row":41325},{"id":"30751MT0670008","name":"Blue Focus Silver POS℠ Standard","issuer":"Blue Cross and Blue Shield of Montana","metal":"Silver","type":"POS","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[43084,45152,48900,55061,76948,116930],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-sosa60blcimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_4T_HIM.pdf","source_row":41326},{"id":"30751MT0670009","name":"Blue Focus Bronze POS℠ Standard","issuer":"Blue Cross and Blue Shield of Montana","metal":"Expanded Bronze","type":"POS","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[30036,31478,34091,38386,53644,81518],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-bosa86blcimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_4T_HIM.pdf","source_row":41327},{"id":"30751MT0670030","name":"Blue Focus Silver POS℠ 903","issuer":"Blue Cross and Blue Shield of Montana","metal":"Silver","type":"POS","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[44861,47014,50917,57332,80122,121753],"deductible":"$7,250","drug_deductible":"$0","moop":"$7,250","network":"https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-sose25blcimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41328},{"id":"30751MT0670031","name":"Blue Focus Gold POS℠ 902","issuer":"Blue Cross and Blue Shield of Montana","metal":"Gold","type":"POS","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[45379,47557,51505,57994,81047,123159],"deductible":"$1,000","drug_deductible":"Included in Medical","moop":"$8,500","network":"https://my.providerfinderonline.com/?ci=mt-bluefocuspos-retail&corp_code=MT","sbc":"https://www.bcbsmt.com/sbc/ind/sbc-gose32blcimtp-mt-2026.pdf","formulary":"https://www.myprime.com/content/dam/prime/memberportal/WebDocs/2026/Formularies/HIM/2026_MT_6T_HIM.pdf","source_row":41329},{"id":"32225MT0060004","name":"Plus Gold","issuer":"Mountain Health CO-OP","metal":"Gold","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[61851,64820,70201,79046,110466,167864],"deductible":"$1,500","drug_deductible":"Included in Medical","moop":"$7,000","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Plus/2026_PLUS_GOLD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41330},{"id":"32225MT0060006","name":"Plus Bronze","issuer":"Mountain Health CO-OP","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[40777,42734,46282,52113,72828,110669],"deductible":"$9,000","drug_deductible":"Included in Medical","moop":"$10,150","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Plus/2026_PLUS_BRONZE_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41331},{"id":"32225MT0060008","name":"Plus Gold Standard","issuer":"Mountain Health CO-OP","metal":"Gold","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[61975,64950,70342,79204,110688,168201],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Plus/2026_PLUS_GOLD_STANDARD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41332},{"id":"32225MT0060009","name":"Plus Silver Standard","issuer":"Mountain Health CO-OP","metal":"Silver","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[55232,57884,62689,70587,98645,149901],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Plus/2026_PLUS_SILVER_STANDARD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41333},{"id":"32225MT0060010","name":"Plus Bronze Standard","issuer":"Mountain Health CO-OP","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[40791,42749,46298,52131,72853,110706],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Plus/2026_PLUS_BRONZE_STANDARD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41334},{"id":"32225MT0090001","name":"Peak PPO Gold","issuer":"Mountain Health CO-OP","metal":"Gold","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[62622,65628,71076,80031,111843,169956],"deductible":"$1,500","drug_deductible":"Included in Medical","moop":"$7,000","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Peak/2026_PEAK_PPO_GOLD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41335},{"id":"32225MT0090004","name":"Peak PPO Bronze HDHP","issuer":"Mountain Health CO-OP","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[41846,43855,47495,53479,74737,113571],"deductible":"$8,400","drug_deductible":"Included in Medical","moop":"$8,400","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Peak/2026_PEAK_PPO_BRONZE_HDHP_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41336},{"id":"32225MT0090005","name":"Peak PPO Silver","issuer":"Mountain Health CO-OP","metal":"Silver","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[56271,58972,63868,71915,100501,152720],"deductible":"$8,000","drug_deductible":"Included in Medical","moop":"$9,500","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Peak/2026_PEAK_PPO_SILVER_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41337},{"id":"32225MT0090006","name":"Peak PPO Catastrophic","issuer":"Mountain Health CO-OP","metal":"Catastrophic","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[24445,25618,27745,31241,43659,66343],"deductible":"$10,600","drug_deductible":"Included in Medical","moop":"$10,600","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Peak/2026_PEAK_PPO_CATASTROPHIC_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41338},{"id":"32225MT0090010","name":"Peak PPO Gold Standard","issuer":"Mountain Health CO-OP","metal":"Gold","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[62845,65861,71329,80316,112241,170561],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Peak/2026_PEAK_PPO_GOLD_STANDARD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41339},{"id":"32225MT0090011","name":"Peak PPO Silver Standard","issuer":"Mountain Health CO-OP","metal":"Silver","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[55872,58554,63414,71404,99787,151636],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Peak/2026_PEAK_PPO_SILVER_STANDARD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41340},{"id":"32225MT0090012","name":"Peak PPO Bronze Standard","issuer":"Mountain Health CO-OP","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[41234,43213,46800,52697,73643,111908],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Peak/2026_PEAK_PPO_BRONZE_STANDARD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41341},{"id":"32225MT0150004","name":"Rocky Mountain Gold Standard","issuer":"Mountain Health CO-OP","metal":"Gold","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[53264,55820,60454,68071,95129,144557],"deductible":"$2,000","drug_deductible":"Included in Medical","moop":"$8,200","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Rocky-Mountain/2026_ROCKY_MOUNTAIN_GOLD_STANDARD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41342},{"id":"32225MT0150005","name":"Rocky Mountain Silver Standard","issuer":"Mountain Health CO-OP","metal":"Silver","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[47291,49560,53675,60437,84461,128347],"deductible":"$6,000","drug_deductible":"Included in Medical","moop":"$8,900","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Rocky-Mountain/2026_ROCKY_MOUNTAIN_SILVER_STANDARD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41343},{"id":"32225MT0150006","name":"Rocky Mountain Bronze Standard","issuer":"Mountain Health CO-OP","metal":"Expanded Bronze","type":"PPO","rating_area":"Rating Area 1","child_only":"Allows Adult and Child-Only","premiums":[34813,36485,39513,44492,62177,94484],"deductible":"$7,500","drug_deductible":"Included in Medical","moop":"$10,000","network":"https://mountainhealth.coop/find-a-doctor/","sbc":"https://mountainhealth.coop/wp-content/uploads/plans/2026/Montana/Individual/Rocky-Mountain/2026_ROCKY_MOUNTAIN_BRONZE_STANDARD_SBC.pdf","formulary":"https://cbg.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B68F03CE30D666D805A","source_row":41344}]